[Surgical Treatment for Giant Coronary Aneurysm Complicated by Acute Myocardial Infarction and Cardiopulmonary Arrest:Report of a Case].
Kyobu Geka
; 74(9): 705-708, 2021 Sep.
Article
en Ja
| MEDLINE
| ID: mdl-34446627
ABSTRACT
Giant coronary aneurysm is rare, but a life-threatening disease. We report a 67-year-old man with 39 mm coronary aneurysm. He was presented to our facility with acute coronary syndrome complicated by cardiogenic shock. Angiography demonstrated giant coronary aneurysm and occlusion of the right coronary artery. After cardiopulmonary resuscitation and cardiopulmonary support (PCPS), emergent excision of aneurysm and coronary artery bypass grafting was performed. The postoperative course was good without complications. Most giant coronary artery aneurysms are asymptomatic but some patients present with angina pectoris, sudden death, fistula formation, pericardial tamponade, compression of surrounding structures, or congestive heart failure. But once complications, such as thrombosis, distal embolization, fistula formation or rupture occurred, it is difficult to save life without aggressive surgery. At present, there are no specific guidelines for the treatment of giant coronary aneurysm. Surgical correction is a preferred approach for the treatment of giant coronary artery aneurysms.
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Colección:
01-internacional
Banco de datos:
MEDLINE
Asunto principal:
Aneurisma Coronario
/
Paro Cardíaco
/
Infarto del Miocardio
Tipo de estudio:
Etiology_studies
/
Guideline
Límite:
Aged
/
Humans
/
Male
Idioma:
Ja
Revista:
Kyobu Geka
Año:
2021
Tipo del documento:
Article
País de afiliación:
Japón